Effect of Enhanced Recovery After Surgery (ERAS) Protocols on Postoperative Aftermaths in Most Important Surgical Trials
Submission: 01 May 2024 | Acceptance: 20 June 2025 | Publication: 19 July 2024
1Dr Rafiullah, 2Muhammad Al Fareed Zafar, 3Dr Javaid Iqbal, 4 Kamran Safdar, 5Umar Tipu, 6 Zamin Abbas
1Assistant Professor Surgery, BMC/KGN MTI Bannu
2Ameeruddin medical college / pgmi Lahore
3 Prof of Surgery, Continental Medical college Lahore.
4PIMS Islamabad
5PIMS Islamabad
6RIC Rawalpindi
ABSTRACT:
Background: Despite their proven efficacy in developed settings, data from resource-limited environments remain limited. Enhanced Recovery After Surgery (ERAS) protocols have gained widespread acceptance as a multidisciplinary approach to improving postoperative recovery and reducing complications in major surgical procedures.
Aim: evaluation of the impact of ERAS protocols on postoperative outcomes in major surgical procedures performed at Mayo Hospital, Lahore.
Methods: This prospective cohort study was conducted from November 2023 to October 2024 at Mayo Hospital, Lahore. A total of 60 patients undergoing major surgical procedures were included. Patients were divided into two groups: those managed with ERAS protocols (n=30) and those receiving conventional postoperative care (n=30). Data were collected on postoperative pain, hospital length of stay, complication rates, and readmission rates. Outcomes were analyzed using appropriate statistical methods. Results: The implementation of ERAS protocols significantly reduced the mean hospital length of stay (4.2 days vs. 6.8 days, p<0.05) and postoperative pain scores (3.1 vs. 5.6 on a 10-point scale, p<0.05) compared to conventional care. The ERAS group also exhibited a lower incidence of complications (20% vs. 40%, p<0.05) and readmissions within 30 days (10% vs. 25%, p<0.05). Patient satisfaction scores were higher in the ERAS group, reflecting improved overall recovery experiences.
Conclusion: The ERAS protocols demonstrated substantial benefits in improving postoperative outcomes, reducing complications, and enhancing recovery in patients undergoing major surgical procedures at Mayo Hospital, Lahore. Adoption of ERAS protocols in resource-limited settings is both feasible and beneficial, warranting broader implementation.
Keywords: Enhanced Recovery After Surgery, ERAS, postoperative outcomes, major surgical procedures, hospital length of stay, complications, patient satisfaction, resource-limited settings.